A Three-part Broken Interlocking Femoral Nail: Novel Technique of Removal and Review of Literature
A. Raviraj
Apollo Hospitals, Bannerghatta Road, Bangalore - 560076, India.
K. Abhishek Sugumar
Apollo Hospitals, Bannerghatta Road, Bangalore - 560076, India.
Vidyasagar Maalepati
Apollo Hospitals, Bannerghatta Road, Bangalore - 560076, India.
H. A. Shivareddy
Apollo Hospitals, Bannerghatta Road, Bangalore - 560076, India.
Ashish Anand *
University of Mississippi Medical Center, Jackson, MS, USA. Professor-William Carey School of Osteopathic Medicine, Hattiesburg, MS, USA.
*Author to whom correspondence should be addressed.
Abstract
A segmentally broken (three part) interlocking femoral nail with broken interlocking screw can be challenging to remove. We describe a novel technique for extraction of an unusual two level broken cannulated anterograde femoral nail to treat the delayed union with exchange nailing. This is the first reported case of a three-part broken intramedullary interlocking nail with broken distal locking screws, where the broken hardware was removed without opening the facture site or the knee. This technique is simple and does not require specialized equipment. The surgical technique and review of literature is presented.
Keywords: Femur, fracture, broken nail, removal